Healthcare Provider Details

I. General information

NPI: 1093192437
Provider Name (Legal Business Name): CITY OF EL PASO TEXAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N CAMPBELL ST
EL PASO TX
79901-1402
US

IV. Provider business mailing address

300 N CAMPBELL ST
EL PASO TX
79901-1402
US

V. Phone/Fax

Practice location:
  • Phone: 915-212-6512
  • Fax: 915-212-0169
Mailing address:
  • Phone: 915-212-6512
  • Fax: 915-212-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK SUTTER
Title or Position: CHIEF FINANCIAL OFFICER
Credential: PHD
Phone: 915-212-1145